<p> Please Type to Complete This Form</p><p>Name </p><p>Address </p><p>City State Zip </p><p>Phone Number E-Mail </p><p>Club Affiliation </p><p>Year: Color: </p><p>Generation Entering: C1 / C2 / C3 / C4 / C5 / C6 / C7</p><p>Style of Corvette: Convertible / Coupe / Fixed Coupe / ZR1 / Z06</p><p>Dash Plaques to the first 75 Entries – Shirts While They Last</p><p>Pre-Registered Entrants are eligible for a separate $100 drawing Early registration due by April 26, 2014. </p><p>Please indicate shirt size: S M L XL 2XL 3XL</p><p>Additional Show T-Shirts: Yes Please Add $15.00 per T-Shirt Quantity by Size: () S ( )M ( )L ( ) XL ( )2XL ( )3XL</p><p>Signed Date </p><p>Registration fee — $25.00 www.tricitiescorvetteclub.com</p><p>Make checks payable, and mail to: Tri-Cities Corvette Club Pat Ball, Secretary 403 Old Abingdon Highway • Bristol, VA 24201</p>